Russell K Walston, CRNA | |
801 W Maple St, Farmington, NM 87401-5630 | |
(505) 609-2258 | |
(505) 609-2259 |
Full Name | Russell K Walston |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 7 Years |
Location | 801 W Maple St, Farmington, New Mexico |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235648916 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 8000945-3102 (Utah) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | CRNA-01530 (New Mexico) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Christus St Vincent Regional Medical Center | Santa fe, NM | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St. Vincent Hospital | 6608775135 | 271 |
Moab Valley Healthcare Inc | 2466361720 | 11 |
Entity Name | St. Vincent Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578587150 PECOS PAC ID: 6608775135 Enrollment ID: O20040105000372 |
Entity Name | San Juan Regional Medical Center, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639662901 PECOS PAC ID: 4587559505 Enrollment ID: O20040218000865 |
Mailing Address | Practice Location Address |
---|---|
Russell K Walston, CRNA Po Box 6210, Farmington, NM 87499-6210 Ph: (505) 609-2258 | Russell K Walston, CRNA 801 W Maple St, Farmington, NM 87401-5630 Ph: (505) 609-2258 |
Christopher Gary Reitmeier, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 Fax: 505-609-2259 | |
Barbara S Kamps, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 950 W Pinon, Farmington, NM 87401 Phone: 505-427-1794 Fax: 505-327-5355 | |
Daniel Herring, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 | |
Tyler Marshall, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-6648 Fax: 505-609-2259 | |
Laura Chase, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 | |
Adam Russell Penrose, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 | |
James L Thurston, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-419-4365 |